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Provider Profile

Chanell Jackson

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At a glance

About Chanell Jackson

Listed in the NPI registry as a clinical social worker, Chanell Jackson practices in Lynwood, CA. Chanell graduated from University of Southern California Keck School of Medicine in 2013. Chanell is also listed as specializing in mental health counselor. NPI 1114402492 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

CA · Licensed Clinical Social WorkerCalifornia Board of Behavioral Sciences
No. 110237CurrentExpires Aug 2028Since 2019
CA licenceAs reported to the NPI registry
No. 89545As reported
NPINational Provider Identifier
1114402492Issued 2018

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Chanell Jackson specialize in?

Chanell Jackson is a clinical social worker in Lynwood, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Chanell Jackson located?

Chanell Jackson is listed at 3630 E Imperial Hwy, Lynwood, CA 90262. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Chanell Jackson's phone number?

The number on file is (310) 900-4619. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Chanell Jackson's NPI number?

Chanell Jackson's National Provider Identifier is 1114402492. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Chanell Jackson train?

Chanell Jackson attended University of Southern California Keck School of Medicine, graduating in 2013. This comes from the CMS National Downloadable File.

CMS public data

How long has Chanell Jackson been practicing?

Chanell Jackson has 13 years experience. Calculated from a graduation year of 2013, reported in the CMS National Downloadable File.

CMS public data

Has Chanell Jackson confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Chanell Jackson. If this is you, claiming it is free.

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